Audit Tim Fraud
Audit Tim Fraud
Audit Tim Fraud
BULAN JULI 20
Essential I10
69 2369699 SLUMUN
#N/A
- v v v
Injection or infusion of cancer
chemotherapeutic substance
99.25 v v v
Other phototherapy
99.83 v v v
Transfusion of packed cells 99.04 v v v
#N/A
- v v v
Transfusion of packed cells
99.04 v v v
#N/A - v v v
Complete substernal
thyroidectomy 06.52 v v v
Excision of secondary
membrane (after cataract) 13.65 v v v
#N/A - v v v
#N/A
- v v v
Temporary tracheostomy 31.1 v v v
Transfusion of packed cells
99.04 v v v
Transfusion of packed cells
99.04 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Computerized axial tomography
of thorax 87.41 v v v
Insertion of drug-eluting
coronary artery stent(s) 36.07 v v v
Other excision or destruction of
lesion of uterus 68.29 v v v
Transfusion of packed cells 99.04 v v v
Closed (endoscopic) biopsy of
bronchus 33.24 v v v
Venous catheterization for renal
dialysis 38.95 v v v
#N/A - v v v
#N/A
- v v v
Other phototherapy
99.83 v v v
Non-invasive mechanical
ventilation
93.90 v v v
#N/A - v v v
#N/A
- v v v
Transfusion of packed cells 99.04 v v v
Laparascopic appendectomy 47.01 v v v
Removal of both fallopian tubes
at same operative episode
66.51 v v v
Open and other Right
hemicolectomy 45.73 v v v
Low cervical cesarean section
74.1 v v v
Closed reduction of fracture
without internal fixation, tibia
and fibula 79.06 v v v
Hemodialysis
39.95 v v v
Endoscopic biopsy of lung
(closed)
33.27 v v v
Low cervical cesarean section
74.1 v v v
Teleradiotherapy using protons
92.24 v v v
#N/A - v v v
#N/A
- v v v
Repair of inguinal hernia with
graft or prosthesis, not
otherwise specified 53.05 v v v
Amputation of penis
64.3 v v v
Excisional debridement of
wound, infection, or burn 86.22 v v v
#N/A
- v v v
Injection or infusion of cancer
chemotherapeutic substance
99.25 v v v
#N/A
- v v v
#N/A
- v v v
Injection or infusion of cancer
chemotherapeutic substance
99.25 v v v
#N/A - v v v
#N/A
- v v v
#N/A - v v v
#N/A
- v v v
#N/A - v v v
#N/A
- v v v
#N/A - v v v
#N/A - v v v
Other intubation of respiratory
tract 96.05 v v v
Injection or infusion of cancer
chemotherapeutic substance
99.25 v v v
Linear repair of laceration of
eyelid or eyebrow 08.81 v v v
#N/A
- v v v
#N/A - v v v
Exploratory thoracotomy 34.02 v v v
Other endoscopy of small
intestine 45.13 v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
Transfusion of packed cells 99.04 v v v
#N/A
- v v v
Injection or infusion of cancer
chemotherapeutic substance
99.25 v v v
#N/A - v v v
#N/A
- v v v
#N/A - v v v
#N/A - v v v
Colonoscopy
45.23 v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A - v v v
Injection or infusion of cancer
chemotherapeutic substance
99.25 v v v
Other and unspecified partial
excision of large intestine 45.79 v v v
Repair of inguinal hernia with
graft or prosthesis, not
otherwise specified 53.05 v v v
#N/A
- v v v
#N/A
- v v v
Transfusion of packed cells
99.04 v v v
Transfusion of packed cells
99.04 v v v
Cardiopulmonary resuscitation,
not otherwise specified
99.60 v v v
#N/A
- v v v
Transfusion of packed cells
99.04 v v v
Ureterotomy 56.2 v v v
54 2384214 JUDHI KRAMA Follow-up exam after other treatment for Z09.8
other conditions )
KASHVA ZAFRAN AL Other and unspecified gastroenteritis and
55 2384181 A09.0
FATIH SUDIBYO, AN colitis of infectious origin )
109 2383347 TARUMAN, TN Hyper heart and renal disease both I13.2
(congestive) heart failure and renal failure )
110 2383346 WINA NINGSIH Other tuberculosis of nervous system ) A17.8
BAYU AJI Tb lung without mention of bact or
111 2383342 A16.2
DEWANTORO histological confirm )
112 2383341 HADHI TAUFANI J90
Pleural effusion, not elsewhere classified )
113 2383340 DEDE JAHARI Asthma, unspecified ) J45.9
MUHAMMAD
114 2383330 K35.8
CHAIKAL Acute appendicitis, other and unspecified )
MUHAMAD CHAIRUL Other and unspecified gastroenteritis and
115 2383326 A09.0
UMAM colitis of infectious origin )
116 2383319 KWAN TING DJIANG Chronic obstructive pulmonary disease J44.0
with acute lower respiratory infection )
DRS DJUWANDI
117 2383314 Non-insulin-dependent diabetes mellitus E11.5
HANTARBUMI MM
with peripheral circulatory complications )
118 2383307 MARYADI I61.9
Intracerebral haemorrhage, unspecified )
119 2383302 BY NY LIDYA Fetus and newborn affected by caesarean P03.4
delivery )
ANDRE IRAWAN Tuberculous pleurisy, conf
120 2383288 A15.6
PUTRA bacteriologically/his'y )
121 2383252 OSIM MAULANA Syncope and collapse ) R55
#N/A 3.91 v v v
#N/A - v v v
Transfusion of packed cells 99.04 v v v
#N/A - v v v
#N/A - v v v
Other appendectomy 47.09 v v v
Other and unspecified coronary a 88.57 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Closed (percutaneous)(needle) bio33.26 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Low cervical cesarean section 74.1 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Other manually assisted delivery 73.59 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A #N/A v v v
Low cervical cesarean section 74.1 v v v
#N/A - v v v
#N/A - v v v
Thoracentesis 34.91 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Nonexcisional debridement of wou 86.28 v v v
Transfusion of packed cells 99.04 v v v
#N/A #N/A v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Insertion of intercostal catheter f 34.04 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Thoracentesis 34.91 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Thoracentesis 34.91 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
#N/A 1.24 v v v
#N/A - v v v
Insertion of intercostal catheter f 34.04 v v v
#N/A - v v v
#N/A - v v v
#N/A - v v v
Transfusion of packed cells 99.04 v v v
Salpingotomy 66.01 v v v
FIRMAN LIMBONG, BA
40 415031 Procedure not carried out because patient's Z53.2
,TN
decision for other unspecified reasons )
41 398964 TUGIYO TN [KPKK 90 ] I21.4
Acute subendocardial myocardial infarction )
42 345 ERMAWATI .NY Atrial fibrillation and flutter ) I48
54 2391014 FATIH KANZA ZAD Other and unspecified gastroenteritis and colitis A09.0
of infectious origin )
55 2390998 HALIM LATIEF S01.2
Open wound of nose )
56 2390847 TEDDY KUSNADI Cutaneous abscess, furuncle and carbuncle of L02.8
other sites )
57 2390756 IRMA ANDRIANI Other and unspecified gastroenteritis and colitis A09.0
of infectious origin )
BY.NY.RINI
58 2390740 Z38.0
MAULIDURRAHMAN Singleton, born in hospital )
59 2390739 MARYANIH Tb lung without mention of bact or histological A16.2
confirm )
RINI
60 2390735 O63.0
MAULIDURRAHMAN Prolonged first stage of labour )
ADNAN STEFANY
61 2390734 S06.00
ARDIYANTO Concussion, without open intracranial wound )
62 2390733 DEBORA ULI CHRISTINA S92.51
Fracture of other toe, open )
63 2390732 BY.NY.ANIS NOPITA Other low birth weight ) P07.1
115 2389662 ST HASANAH Gastric ulcer, unspec as acute or chronic w'out K25.9
haemorrhage or perforation )
126 2389509 SILVESTER GABREL FOUK Neoplasm of uncertain or unknown behaviour D38.1
of trachea, bronchus and lung )
127 2389508 YULIANINGSIH Placenta praevia with haemorrhage ) O44.1
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
#N/A - v v v
51.23 v v v
Laparoscopic cholecystectomy
33.27 v v v
Endoscopic biopsy of lung (closed)
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
97.65 v v v
Removal of urethral stent
- v v v
#N/A
#N/A - v v v
Hemodialysis 39.95 v v v
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
Transfusion of packed cells 99.04 v v v
Excisional debridement of wound, 86.22 v v v
infection, or burn
#N/A - v v v
- v v v
#N/A
Insertion of non-drug -eluting 36.06 v v v
coronary artery stent(s)
#N/A - v v v
- v v v
#N/A
Transfusion of packed cells 99.04 v v v
Other reconstruction of thumb 82.69 v v v
- v v v
#N/A
#N/A v v v
#N/A
- v v v
#N/A
Debridement of open fracture of 79.68 v v v
phalanges of foot
73.59 v v v
Other manually assisted delivery
- v v v
#N/A
73.59 v v v
Other manually assisted delivery
Transfusion of packed cells 99.04 v v v
- v v v
#N/A
93.57 v v v
Application of other wound dressing
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
99.04 v v v
Transfusion of packed cells
73.59 v v v
Other manually assisted delivery
- v v v
#N/A
Debridement of open fracture of 79.69 v v v
other specified bone
#N/A - v v v
74.1 v v v
Low cervical cesarean section
- v v v
#N/A
99.04 v v v
Transfusion of packed cells
- v v v
#N/A
34.91 v v v
Thoracentesis
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
- v v v
#N/A
Transfusion of packed cells 99.04 v v v
Low cervical cesarean section 74.1 v v v
- v v v
#N/A
73.59 v v v
Other manually assisted delivery
- v v v
#N/A
- v v v
#N/A
Excisional debridement of wound, 86.22 v v v
infection, or burn
- v v v
#N/A
99.04 v v v
Transfusion of packed cells
#N/A - v v v
99.04 v v v
Transfusion of packed cells
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
74.1 v v v
Low cervical cesarean section
- v v v
#N/A
Other phototherapy 99.83 v v v
- v v v
#N/A
#N/A - v v v
- v v v
#N/A
- v v v
#N/A
#N/A - v v v
#N/A - v v v
- v v v
#N/A
- v v v
#N/A
- v v v
#N/A
60.29 v v v
Other transurethral prostatectomy
- v v v
#N/A
92.31 v v v
Single source photon radiosurgery
45.13 v v v
Other endoscopy of small intestine
74.1 v v v
Low cervical cesarean section
#N/A - v v v
- v v v
#N/A
73.59 v v v
Other manually assisted delivery
- v v v
#N/A